The clients arterial blood gas (ABG) are pH 7.33, PaC02 31, HC03 14. Pa02 90. Which sign should the nurse expect to assess with compensation?

A son brings his elderly mother to the emergency department and states that she fell today. The nurse notes multiple bruises in all stages of healing all over the client’s body. Which action should the nurse take first?

Which serum laboratory test result should the nurse expect for a client diagnosed with Imbalanced Nutrition: Less than body requirements?

Which sign or symptom is the most reliable indicator of dehydration In a 70-year-old client?

A 32-year-old client is admitted to the hospital for a breast biopsy and a possible partial removal of her breast. The client tearfully expresses concern about the disfigurement following surgery. In response. the nurse states. "It's the only way to determine if the tumor is cancerous: Which evaluation of the nurse's response is accurate?

Which fluid selection by a client with burns to the upper extremities indicates the client understands the dietary needs for burn recovery?

What pain description is the client with renal calculi most likely to report during an assessment?

A nurse is teaching a client about preparation for barium enema. What client statement indicates the client  requires further reinforcement of the teaching? 

Which action is essential when assessing drainage in a client with a large abdominal wound?

A young woman arrives to the Emergency Department and reports that she was raped and stabbed. What should the nurse do first?

A nurse assessing a client's lung sounds hears continuous low-pitched harsh rattling sounds over the client’s trachea that are most evident on expiration and are decreased after coughing. Which term is the appropriate choice to accurately document this lung sound?